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1235568742
SHELLEY LEILANI DAVIS
IDAHO FALLS, ID
NPI
1235568742
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: ID TLP-014)
Enumeration Date
2013-11-05
Last Update Date
2013-11-05
Business Address
SHELLEY LEILANI DAVIS P.A.-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
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Mailing Address
SHELLEY LEILANI DAVIS P.A.-C
3614 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7573
Phone number: 208-552-7700
Copy
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